Individual
MR. MOHAMMADREZA MAGHAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1525 WILSON BLVD, ARLINGTON, VA 22209-2411
(703) 276-9415
Mailing address
1525 WILSON BLVD, ARLINGTON, VA 22209-2411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0201002554
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503567
—
VA
Enumeration date
10/29/2010
Last updated
10/29/2010
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